OrganizationActive
Green Ridge Group Inc
NPI 1720310055 · Geriatric Medicine (Family Medicine) Physician · Columbia, SC
Provider details
- NPI number
- 1720310055
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Thomas Norris, Ceo(803) 795-5435
- License
- 13651 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
100 Forum Dr
Ste 3-255
Columbia, SC 29229-7944
Phone: (803) 795-5435
Approximate (ZIP-level) locationGet directions
Mailing address
100 Forum Dr
Columbia, SC 29229-7944
Registry dates
- Enumerated
- 2010-02-11
- Last updated
- 2010-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.